Uploaded image for project: 'eCQM Issue Tracker'
  1. eCQM Issue Tracker
  2. CQM-7403

Is the specific lab, InSure Fecal Globin by Immunochemistry

XMLWordPrintable

    • Icon: EC eCQMs - Eligible Clinicians EC eCQMs - Eligible Clinicians
    • Resolution: Answered
    • Icon: Moderate Moderate
    • None
    • None
    • Tracy Tipton
    • 480-861-2514
    • Banner Health
    • Hide
      Thank you for your inquiry regarding CMS130v13 (2025 Performance Period). According to the measure steward, the National Committee for Quality Assurance (NCQA), applicable screenings to meet the numerator criteria may include Fecal Occult Blood Test, Stool DNA with Fecal Immunochemical Test (FIT), Flexible Sigmoidoscopy, CT Colonography, or a colonoscopy. Clinically equivalent services may be mapped to the codes used in a measure's value sets to satisfy a value set requirement. If mapping is conducted, you should maintain documentation in case of a CMS audit.
      Show
      Thank you for your inquiry regarding CMS130v13 (2025 Performance Period). According to the measure steward, the National Committee for Quality Assurance (NCQA), applicable screenings to meet the numerator criteria may include Fecal Occult Blood Test, Stool DNA with Fecal Immunochemical Test (FIT), Flexible Sigmoidoscopy, CT Colonography, or a colonoscopy. Clinically equivalent services may be mapped to the codes used in a measure's value sets to satisfy a value set requirement. If mapping is conducted, you should maintain documentation in case of a CMS audit.
    • CMS0130v13
    • Moderate. Would allow for another acceptable lab result causing patients to meet the measure.

      Does the lab test for Colorectal Cancer, InSure Fecal Globin by Immunochemistry count to meet the measure? If so, is this an annually accepted lab test related to the Fecal occult blood test (annually) that's listed the 2025 specification?

            AIR EC eCQM Team AIR EC eCQM Team
            TiptonT Tracy Tipton
            Votes:
            0 Vote for this issue
            Watchers:
            3 Start watching this issue

              Created:
              Updated:
              Resolved:
              Solution Posted On: